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For example, prolonged stress can kill cells in the hippocampus, a brain area critical for memory.

The good news is that adults are able to grow new neurons in this area in the course of normal development.

“I feel I should try,” my patient told me, “but I know she’ll be awful to me.”Should she visit and perhaps forgive her mother, or protect herself and live with a sense of guilt, however unjustified? But it did make me wonder about how therapists deal with adult patients who have toxic parents.

The topic gets little, if any, attention in standard textbooks or in the psychiatric literature, perhaps reflecting the common and mistaken notion that adults, unlike children and the elderly, are not vulnerable to such emotional abuse.

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